scholarly journals The epidemiology of facial trauma in a city in Northern Brazil

2021 ◽  
Vol 10 (13) ◽  
pp. e565101321687
Author(s):  
Elton Carlos Menezes ◽  
Ricardo Grillo ◽  
Rubens Gonçalves Teixeira
Keyword(s):  
Traffic Accidents ◽  
Ethics Committee ◽  
Facial Trauma ◽  
Insurance Company ◽  
Facial Fractures ◽  
Interpersonal Aggression ◽  
Awareness Campaigns ◽  
Traffic Awareness ◽  
Northern Brazil ◽  
The City

The aim of the present work is to carry out an epidemiological study with patients with facial fractures who were operated on in the city of Belém do Pará.  In the Years 2015 to 2020, in addition to a literature search on the topic, data was collected on the system of a health insurance company in the city of Belém. It was approved by the Research Ethics Committee of the Dental Research Center and São Leopoldo Mandic Dental School. Facial fractures in Belém do Pará had a 3.5 times higher incidence in men than women. One of the explanations lies in the increased number of men involved in interpersonal aggression, violent sports and traffic accidents. Mostly there were fractures in the zygomatic area and in the nose. The vast majority were treated with open reduction. Facial fractures are multifactorial, but traffic awareness campaigns and alcohol abuse should be incorporated into government projects in each national area.

scholarly journals ANGKA KEJADIAN PENDERITA FRAKTUR TULANG FASIAL DI SMF BEDAH BLU RSU PROF. R.D. KANDOU PERIODE JANUARI 2012 – DESEMBER 2012

e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Christo Kairupan ◽  
A. Monoarfa ◽  
J. Ngantung
Keyword(s):  
Bone Fracture ◽  
Medical Records ◽  
Traffic Accidents ◽  
Nasal Bone ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Facial Bones ◽  
Mandibular Bone ◽  
Number Of Patients ◽  
The Face

Abstract: Facial Trauma, also known as maxillofacial trauma, is a forced to the face. Trauma maxillofacial occurred about 6% of all trauma. Trauma Facial causing fractures facial that happen a lot. Facial fractures occur because of trauma load that is greater than facial bones resistance. Facial fractures are divided into several parts, the nasal bone fracture, fracture zygoma and zygoma arch, maxilla fractures, orbital fractures and fractures of the mandible. With the increase of people’s mobilization and a growing level of transportation, causing accident that led to increased facial trauma. The research objective was to determine the incidence of facial fractures in patients SMF BLU Surgical Hospital Prof. R. D. Kandou the period January 2012 to December 2012. Research method: Retrospective descriptive study of the medical records in SMF BLU Surgical Hospital Prof. Dr. R.D. Kandou Manado from January 2012 to December 2012 is used in this paper. Result: Number of patients with facial fractures who were treated at the Surgical SMF period January 2012-December 2012 as many as 156 cases (5.60%) of the total of 2786 treated facial trauma. Most facial fractures age are 20-29 years that is 78 (50.00%), men are more than women that 132 cases (84.62%); most private sector employees work as many as 40 cases (25.64%), the highest in the District Malalayang by 49 cases (31.41%), the most common cause of traffic accidents as many as 82 cases (52.56%), as well as the location of the mandibular bone fracture is the most, 72 cases (39.77%). Conclusion: Trauma face causing facial fractures that went on SMF Surgical Hospital Prof R. D. Kandou still quite high, so it is necessary to continually educate people to avoid the possibility of injury in day-to-day activities. Keywords: facial trauma, facial fractures, facial bones.   Abstrak: Trauma fasial disebut juga trauma maksilofacial adalah trauma akibat ruda paksa terhadap wajah. Trauma maksilofacial terjadi sekitar 6% dari seluruh trauma. Trauma fasial menyebabkan fraktur fasial yang banyak terjadi. Fraktur tulang fasial terjadi karena beban trauma yang lebih besar dari tahanan tulang fasial. Fraktur fasial dibagi menjadi beberapa bagian, yaitu fraktur tulang hidung, fraktur zigoma dan arkus zigoma, fraktur maksila, fraktur orbita dan fraktur mandibula. Dengan peningkatan mobilisasi penduduk serta tingkat transportasi yang berkembang, menyebabkan insiden kecelakaan yang menyebabkan trauma fasial meningkat. Tujuan penelitian adalah Untuk mengetahui angka kejadian penderita fraktur tulang fasial di SMF Bedah BLU RSU Prof. R. D. Kandou periode Januari 2012 sampai Desember 2012. Metode penelitian: metode retrospektif deskriptif melalui penelitian data rekam medik di SMF Bedah BLU RSU Prof. Dr. R.D. Kandou Manado periode Januari 2012 sampai Desember 2012. Hasil penelitian: Jumlah penderita fraktur fasial yang dirawat di SMF Bedah periode Januari 2012-Desember 2012 sebanyak 156 kasus (5,60%) dari total 2786 trauma fasial yang dirawat. Usia terbanyak fraktur fasial 20-29 tahun yaitu 78 (50,00%); pria lebih banyak wanita yaitu 132 kasus (84,62%); dari pekerjaan paling banyak pegawai swasta sebanyak 40 kasus (25,64%); terbanyak di Kecamatan Malalayang sebesar 49 kasus (31,41 %); penyebab terbanyak akibat kecelakaan lalulintas yaitu sebanyak 82 kasus (52,56 %); serta lokasi fraktur terbanyak adalah tulang mandibula sebanyak 72 kasus (39,77 %). Simpulan: Trauma wajah yang menyebabkan fraktur fasial yang masuk di SMF bedah RSU Prof R. D. Kandou masih cukup tinggi, sehingga diperlukan edukasi terus menerus kepada masyarakat agar menghindari kemungkinan terjadinya trauma, dalam kegiatan sehari-hari. Kata kunci: trauma fasial, fraktur fasial, tulang-tulang wajah.

scholarly journals Facial Trauma Prevalence from Traffic Accidents in the City of Cuenca - Ecuador, 2017

2021 ◽  
Vol 15 (2) ◽  
pp. 499-502
Author(s):  
María Verónica Chérrez-Rodas ◽  
Santiago Reinoso-Quezada
Keyword(s):  
Traffic Accidents ◽  
Facial Trauma ◽  
The City

Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti
Keyword(s):  
Medical Records ◽  
Associated Factors ◽  
Traffic Accidents ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
The Face ◽  
Chi Square Test ◽  
The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

Injury Patterns in Pediatric Facial Fractures Unique to an Urban Environment

2021 ◽  
Author(s):  
Anthony P. Sclafani ◽  
Matthew Scott Sclafani ◽  
Sallie Long ◽  
Tasher Losenegger ◽  
Daniel Spielman ◽  
...  
Keyword(s):  
Urban Environment ◽  
Older Patients ◽  
High Energy ◽  
Urban Setting ◽  
Cranial Bone ◽  
Csf Leak ◽  
Facial Trauma ◽  
Trauma Patients ◽  
Associated Injuries ◽  
Facial Fractures

AbstractThis study aimed to define better the clinical presentation, fracture patterns, and features predictive of associated injuries and need for surgery in pediatric facial trauma patients in an urban setting. Charts of patients 18 years or younger with International Classification of Disease 9th and 10th revision (ICD-9/ICD-10) codes specific for facial fractures (excluding isolated nasal fractures) at NY-Presbyterian/Weill Cornell Medical Center between 2008 and 2017 were retrospectively reviewed. Of 204 patients, most were referred to the emergency department by a physician's office or self-presented. Children (age 0–6 years) were most likely to have been injured by falls, while more patients 7 to 12 years and 13 to 18 years were injured during sporting activities (p < 0.0001). Roughly half (50.5%) of the patients had a single fracture, and the likelihood of surgery increased with greater numbers of fractures. Older patients with either orbital or mandibular fractures were more likely to undergo surgery than younger ones (p = 0.0048 and p = 0.0053, respectively). Cranial bone fractures, CSF leaks, and intracranial injuries were more common in younger patients (p < 0.0001) than older patients and were more likely after high energy injuries; however, 16.2% of patients sustaining low energy injuries also sustained cranial bone, CSF leak, or intracranial injury. In an urban environment, significant pediatric facial fractures and associated injuries may occur after nonclassic low kinetic energy traumatic events. The age of the patient impacts both the injuries sustained and the treatment rendered. It is essential to maintain a high index of suspicion for associated injuries in all pediatric facial trauma patients.

scholarly journals Epidemiology of Maxillo-Facial Trauma During COVID-19 Lockdown: Reports From the Hub Trauma Center in Milan

2020 ◽  
pp. 194338752098311
Author(s):  
Gabriele Canzi ◽  
Elena De Ponti ◽  
Federica Corradi ◽  
Roberto Bini ◽  
Giorgio Novelli ◽  
...  
Keyword(s):  
Interpersonal Violence ◽  
Trauma Center ◽  
Major Trauma ◽  
Suicide Attempts ◽  
Linear Trend ◽  
Trauma Team ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Epidemiological Changes ◽  
Systemic Symptoms

Study Design Retrospective study. Objective: Following SARS-CoV-2 pandemic break-out a lockdown period for the population and a reorganization of the Health System were needed. Hub-function Centers for time-dependent diseases were identified and Niguarda Hospital (Milan) was selected as main Regional Trauma Center. The purpose of our study is to report the experience of Niguarda Maxillofacial Trauma Team during this period, pointing out epidemiological changes in the presentation of trauma in comparison to the previous 3 years. Methods: Two hundred and sixteen patients were admitted to the Emergency Department from 8th March 2020 to 8th May 2020. One hundred and eighty-one had a diagnosis of Major Trauma and 36 had also facial fractures; 35 patients had isolated facial fractures. Data were compared to the activity during the same period in 2017-2019 and statistical analysis was carried out concerning demographic and clinical characteristics, trauma dynamics and positivity to COVID-19. Results: Cumulative curves of patients admitted because of Major Trauma describe a superimposable linear trend in years 2017-2019, while 2020 shows an increase from April 16th. Average age and number of more severe patients were higher than previous years. Epidemiological changes concerned road accidents, accidents involving pedestrians and cyclists, interpersonal violence, suicide attempts and domestic accidents. The incidence of facial fractures was confirmed through years and, according to its measured severity, 75% of patients required management. COVID-19 positivity without systemic symptoms didn’t influence the type of treatment. Conclusion: The COVID-19 lockdown offers a unique opportunity to study the reversal epidemiological effects on trauma.

scholarly journals A cross-sectional study to assess knowledge of women about cervical cancer: an urban and rural comparison

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Małgorzata Lesińska-Sawicka
Keyword(s):  
Cervical Cancer ◽  
Life Expectancy ◽  
Correct Answer ◽  
Rural Areas ◽  
Urban Areas ◽  
Statistical Significance ◽  
Average Life Expectancy ◽  
Cross Sectional ◽  
Awareness Campaigns ◽  
The City

Abstract Introduction Cervical cancer and its etiopathogenesis, the age of women in whom it is diagnosed, average life expectancy, and prognosis are information widely covered in scientific reports. However, there is no coherent information regarding which regions—urban or rural—it may occur more often. This is important because the literature on the subject reports that people living in rural areas have a worse prognosis when it comes to detection, treatment, and life expectancy than city dwellers. Material and methods The subjects of the study were women and their knowledge about cervical cancer. The research was carried out using a survey directly distributed among respondents and via the Internet, portals, and discussion groups for women from Poland. Three hundred twenty-nine women took part in the study, including 164 from rural and 165 from urban areas. The collected data enabled the following: (1) an analysis of the studied groups, (2) assessment of the respondents’ knowledge about cervical cancer, and (3) comparison of women’s knowledge depending on where they live. Results The average assessment of all respondents’ knowledge was 3.59, with women living in rural areas scoring 3.18 and respondents from the city—4.01. Statistical significance (p < 0.001) between the level of knowledge and place of residence was determined. The results indicate that an increase in the level of education in the subjects significantly increases the chance of getting the correct answer. In the case of age analysis, the coefficients indicate a decrease in the chance of obtaining the correct answer in older subjects despite the fact that a statistically significant level was reached in individual questions. Conclusions Women living in rural areas have less knowledge of cervical cancer than female respondents from the city. There is a need for more awareness campaigns to provide comprehensive information about cervical cancer to women in rural areas. A holistic approach to the presented issue can solve existing difficulties and barriers to maintaining health regardless of the place of life and residence. Implication for cancer survivors They need intensive care for women’s groups most burdened with risk factors.

A Nationwide Study of Skiing and Snowboarding-Related Facial Trauma

2021 ◽  
pp. 194338752199723 ◽  
Author(s):  
Thomas J. Sorenson ◽  
Vedant Borad ◽  
Warren Schubert
Keyword(s):  
Surveillance System ◽  
Pediatric Patients ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Cold Winter ◽  
Injury Surveillance System ◽  
Weighted Estimates ◽  
Patient Demographics ◽  
The Us

Study Design: Retrospective descriptive observational study. Purpose: Skiing and snowboarding offers valuable opportunities for outdoor physical activity throughout the cold winter months, but these activities can result in substantial personally injury. This study aimed to analyze trends in skiing and snowboarding-related facial trauma epidemiology. Methods: The National Electronic Injury Surveillance System (NEISS) was queried for facial trauma related to skiing and snowboarding treated in United States (US) emergency departments between 2010 and 2019. These data and weighted estimates were used to analyze patient demographics, injury location, and etiology. Results: A total of 361 skiing or snowboarding-related facial injuries were recorded. Lacerations were most common injury (165/361; 45.7%), and facial fractures occurred in 21.6% (78/261) of patients. The most common facial fracture locations are the nose (38/78; 48.7%), orbit (17/78; 21.8%), and mandible (15/78; 19.2%). Pediatric patients accounted for 52% (187/361) of these injuries and had higher rates of lacerations (51.9% vs 39.1%, P < 0.05) and hospital admission (4.8% vs 1.15%, P < 0.05) than adults. Adults had a higher rate of facial fracture (30% vs 13.9%, P < 0.001) than children. Conclusions: Skiing and snowboarding-related facial trauma is relatively uncommon in the US. In general, these injuries are largely decreasing, but facial fractures still occur not infrequently during these activities. Based on our data, we strongly urge helmet manufacturers to increase the availability of recreational snowsport helmets that include nose, orbit, and mandible protections, which could help to prevent many of these injuries.

BOY HARMED BY LEAD TO GET $1.5 MILLION IN COURT SETTLEMENT

PEDIATRICS ◽  
1994 ◽  
Vol 94 (4) ◽  
pp. 557-557
Author(s):  
J. F. L.
Keyword(s):  
Attention Deficit Disorder ◽  
Health Department ◽  
Insurance Company ◽  
Circuit Court ◽  
Milwaukee County ◽  
Lead Dust ◽  
The Family ◽  
Lead Levels ◽  
Federal Standard ◽  
The City

A 5-year old boy who was poisoned by lead during his landlord's attempts to clear his apartment of lead-based paint will receive up to $1.5 million over his lifetime from the landlord's insurance company. The boy has attention deficit disorder with hyperactivity. In reports filed with the Milwaukee County Circuit Court, doctors said the disorder had either been caused by the lead poisoning or had been made worse by it. ...In the summer of 1991, the city health department discovered that the boy's blood contained lead levels that were three times the Federal health standard. In June 1992, the city ordered the owners of the apartment building, a converted 65-year-old frame house, to begin removing the lead-based paint. But instead of alleviating the victim's problem, their scraping of the paint spread lead dust throughout the home. As a result, lead levels increased to eight times the Federal standard. The family sued, contending negligence.

scholarly journals Submental method for orotracheal intubation in treating facial trauma

1998 ◽  
Vol 116 (5) ◽  
pp. 1829-1832 ◽  
Author(s):  
Luiz Carlos Manganello-Souza ◽  
Nicolas Tenorio-Cabezas ◽  
Luiz Piccinini Filho
Keyword(s):  
Tracheal Intubation ◽  
General Anesthesia ◽  
Surgical Intervention ◽  
Orotracheal Intubation ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Surgical Team ◽  
Visible Scar ◽  
Alternative Method

OBJECTIVE: To demonstrate an alternative method for intubating patients with fractures of maxilla and nose, prior to surgery. DESIGN: Cases Report. PARTICIPANTS: We studied 10 patients with facial fractures that affected maxilla and nose. INTERVENTION: The patients were submitted to surgery under general anesthesia and submental oro-tracheal intubation. RESULTS: This type of intubation allowed the surgical team to work on the whole face of the patient and left no visible scar. CONCLUSION: This procedure is indicated for patients with fractures of maxilla and nose who need surgical intervention under general anesthesia.

scholarly journals The hope of women with HIV/AIDS: evaluation using the Herth Scale

2013 ◽  
Vol 22 (1) ◽  
pp. 141-148 ◽  
Author(s):  
Fabiana de Souza Orlandi ◽  
Neide de Souza Praça
Keyword(s):  
Healthcare Services ◽  
Cross Sectional Study ◽  
Ethics Committee ◽  
Average Score ◽  
Hiv Positive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Positive Women ◽  
The City ◽  
Hiv Aids

This descriptive cross-sectional study had the objective to evaluate the level of hope in women aged 50 or older suffering from HIV/AIDS, utilizing the Herth Hope Scale. The study involved 200 HIV- positive women, within the age bracket of interest, enrolled in three STI/AIDS specialized healthcare services in the city of São Paulo. The rules of the 196/96 Resolution were met and the study was approved by the Research and Ethics Committee. Data were collected in 2010 using two instruments: subjects' characterization and the Herth Hope Scale. Results demonstrated an average score of 36.75 (±4.52) on the Herth Hope Scale, with an interval of 12 to 48. This score is below the score obtained with the same scale for various pathologies, indicating a reduced perception of hope by the sample. Nurses should provide interventions to improve hope for these people, establishing realistic goals and strengthening social support.

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